Healthcare Provider Details

I. General information

NPI: 1962330134
Provider Name (Legal Business Name): TIMOTHY O'BYRNE CARDIOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 ROSE AVE
STATEN ISLAND NY
10306-2242
US

IV. Provider business mailing address

98 ROSE AVE
STATEN ISLAND NY
10306-2242
US

V. Phone/Fax

Practice location:
  • Phone: 718-351-9800
  • Fax:
Mailing address:
  • Phone: 718-351-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN ZONA-O'BYRNE
Title or Position: MANAGER
Credential:
Phone: 718-351-9745